The patient presented with progressive cranial deformity caused by fibrous dysplasia, combined with increasing local pain, dysesthesia, and growing cosmetic concerns. Although the overall neurological condition was stable, the oversized bone growth had become both functionally and aesthetically burdensome for the patient, making surgical intervention necessary.
In collaboration with Dr. Paul Pakos, Universitätsklinik Würzburg
From a surgical perspective, this case was notable due to the presence of an existing titanium mesh implant that had been placed during a previous procedure. Careful planning was required to resect the pathological bone while preserving and integrating this implant into the new reconstruction. The digital planning process and implant design review were essential in visualising the planned bone resection and anticipating potential challenges during surgery.
The use of a patient-specific PEEK inlay implant was chosen for several reasons. PEEK allowed for a highly aesthetic reconstruction, offered flexibility for fine intraoperative adjustments, and enabled optimal integration with the pre-existing titanium mesh. This material choice supported both cosmetic goals and surgical practicality.
Preoperative planning significantly improved the predictability of the procedure and contributed to efficient intraoperative decision-making. Postoperatively, the outcome was very good: the patient was highly satisfied, particularly with the aesthetic result, and reported clear relief of preoperative complaints.
“Overall, this workflow saved considerable time and provided an effective, reliable approach to a complex reconstruction. I would strongly recommend this method for similar cases, especially when aesthetic outcome is a key priority. Working closely with the Xilloc engineers throughout this process was a great experience,” says Dr Paul Pakos.
